ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH (NPI# 1205277886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205277886 |
| Entity Type | Organization |
| Organization Name | ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH |
| Practice Address |
20 State St Tully NY 13159-3254 |
| Mailing Address |
421 Montgomery St Syracuse NY 13202-2923 |
| Practice Telephone | 3154357706 |
| Practice Fax Number | 3154357715 |
| Mailing Telephone | 3154353355 |
| Mailing Fax Number | 3154353279 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | ROBERT C LONG (COMMISSIONER) |
| Authorized Official Telephone | 3154353355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | 335184 | 01 |
| NY | 00565031 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912179292 | Onondaga County Department of Mental Health | Clinic/Center | 520 Cedar St, Day Treatment Program - Palmer, Syracuse, NY 13210-2302 | 2008-03-27 |
| 1477626158 | Onondaga County Department of Mental Health | Clinic/Center | 530 Cedar St, Day Treatment Program - Soule Road School, Syracuse, NY 13210-2302 | 2006-11-17 |
| 1225101942 | Onondaga County Department of Mental Health | Clinic/Center | 530 Cedar St, Day Treatment Program - Delaware School, Syracuse, NY 13210-2302 | 2006-11-17 |
| Street Address |
20 STATE ST |
| City | TULLY |
| State | NY |
| Zip Code | 13159-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336275759 | Tully Central School District | Local Education Agency (LEA) | 20 State St, Tully, NY 13159-3254 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053583 | Colin Francis Rybak | Pharmacist | 596 U.S. Rt 11, Tully, NY 13159 | 2018-05-15 |
| 1275842304 | Paula S Bush | Registered Nurse | 5957 Rt. 20 W, Lafayette, NY 13159 | 2010-10-07 |
| 1750581195 | Jonathan William Biggar | Registered Nurse | 986 Route 11 North, Tully, NY 13159 | 2007-07-24 |
| 1447342803 | John Cognato Pt PC | Physical Therapist | 505 Nys Route 281, Tully, NY 13159 | 2006-09-29 |
| 1992812176 | Kph Healthcare Services, Inc. | Pharmacy | 596 Route 11, Tully, NY 13159 | 2006-08-24 |
| 1962724070 | Sally F Beattie | Pharmacist | 596 Route 11, Tully, NY 13159 | 2010-02-17 |
| 1366602070 | Charles Nicholas Pirro | Nurse Practitioner | 5821 Route 80, Tully, NY 13159 | 2008-06-16 |
| 1093999245 | Rebecca Horn | Pharmacist | 596 Route 11, Tully, NY 13159 | 2007-12-24 |
| 1932392420 | David Leonard Diliello | Licensed Practical Nurse | 560 Strong Rd, Tully, NY 13159-0000 | 2007-08-20 |
| 1174822191 | Amanda Mae Walters | Case Manager/Care Coordinator | 38 State Street, Tully, NY 13159-0123 | 2011-03-16 |
| Find all providers in zip 13159 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.